Which instructions should be included as part of a teaching plan for a client with hypertroph-ic cardiomyopathy (HCM)?
A. "Take your digoxin at the same time every day."
B. "You should begin an aerobic exercise program."
C. "You should report episodes of dizziness or fainting."
D. "You may have a maximum of two drinks containing alcohol daily."
C
The client with HCM is instructed to notify the health care provider if episodes of fainting, diz-ziness, or palpitations occur, because they may signal the onset of deadly dysrhythmias. Clients with HCM are instructed to avoid strenuous exercise and alcohol. Cardiac glycosides are con-traindicated in obstructive HCM.
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The most important step that the nurse can take to prevent the transmission of microorganisms in the hospital setting is to:
a. Wear protective eye wear at all times. b. Wear gloves during any and all contact with patients. c. Wash hands before and after contact with each patient. d. Clean the stethoscope with an alcohol swab between patients.
The nurse is talking to the spouse of a client who is not requiring pain medication a few hours after surgery
The spouse states that she is amazed that her husband is able to endure such pain without medication. Which response by the nurse is the most appropriate in this situation? 1. "Some people just don't need any analgesics." 2. "Have you seen any nonverbal cues that might indicate your husband is experiencing pain?" 3. "We will need to contact the healthcare provider to report your husband is refusing analgesics." 4. "Have you noticed your husband's monitor alarming?"
The nurse cares for a client with acute respiratory acidosis. Which central nervous system (CNS) manifestation will the nurse likely find?
A) Parasthesias B) Dizziness C) Anxiety D) Papilledema
An important action the nurse can take that will most likely increase client compliance with a sodium- and fat-restricted diet is to
a. offer to find the client a class on heart-healthy cooking. b. provide verbal education on ways to modify the client's current diet. c. refer the client for a consultation with a registered dietitian. d. tell the client about complications that may occur from not being compliant.